Organization
HLY MEDICAL GROUP NJ, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA NILES MD (PRESIDENT)
(415) 413-8833
Entity
Organization
Contact information
Practice address
2215 S EL CAMINO REAL STE 206, SAN MATEO, CA 94403-1898
(415) 413-8833
Mailing address
2215 S EL CAMINO REAL STE 206, SAN MATEO, CA 94403-1898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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